Weight Loss Intervention Reduces the Risk of Obesity-Related Cancer

10 Nov 2020 Uncategorized

Implementing an intensive lifestyle intervention (ILI) aimed at weight loss can attenuate the risk of obesity-related cancers in adults who are overweight, obesity, or have type 2 diabetes, according to the findings of a study published in Obesity.

In this study, researchers evaluated 4,859 participants who had not reported a cancer diagnosis at baseline (except for nonmelanoma cancer). The population of interest were required to meet the following criteria: 45 to 76 years of age, body mass index greater than 25, glycated hemoglobin less than 11 percent, blood pressure readings less than 160/100 mm Hg, triglyceride levels less than 600 mg/dL and completion of a maximal graded exercise test. The researchers arbitrarily assigned to an ILI or a DSE by a web-based data management system between August 22, 2001 and April 30, 2004.

According to the results, following an average follow-up of 11 years, 684 participants (332 in ILI and 352 in DSE) were diagnosed with cancer. The researchers observed an incidence rate of obesity-related cancers were 6.1 and 7.3 per 1,000 person-years in ILI and DSE, respectively, with a hazard ratio (HR) of 0.84 (95 CI, 0.68 to 1.04).

Nutrition Guidelines For Weight Loss Procedures

23 Apr 2020 Endoscopic Sleeve Gastroplasty, Uncategorized, Weight Loss Procedures ,

Why should I follow these recommendations?

  1. Help to prevent nutritional deficiencies that may result from a decreased intake of food.
  2. Help to achieve the maximum amount of weight loss.
  3. Help to prevent nausea, vomiting, dehydration, and other potential side effects.

Getting Ready for your Procedure…

It is a good idea to start making changes before a weight loss procedure to help you prepare for your new lifestyle after the procedure.

  1. Chew your food thoroughly. This becomes very important after the procedure. With the reduction in the size of your stomach you must be able to chew food to a liquid consistency before swallowing. Not chewing your food enough could result in pain, nausea, and vomiting.
    • Start with smaller bites. Cut food into tiny pieces (i.e. pencil eraser-size) and/or use a small utensil (i.e. child’s fork) to control bite size.
    • Chew each bite approximately 20 times or until liquid.
  2. Practice eating slowly and stop eating when you feel full or comfortably satisfied. After a weight loss procedure, it is important to eat slowly in order to recognize your feeling of fullness and prevent intolerance. When you feel a pressure in your upper stomach area, this is your new full feeling.  If you experience pain, you probably took one too many bites, or perhaps ate too quickly.
    • Sit down and focus on eating. Avoid activities (i.e. reading, watching TV, on computer) where you can become distracted. Practice mindful eating.
    • Savor each bite, noting its aroma, flavor and texture. Engaging all your senses can increase satisfaction and help prevent over eating.
    • Put your fork down between bites.
  3. Practice sipping beverages slowly and drink between meals.Drinking too quickly, gulping and/or drinking too soon after eating solid food may cause pain, discomfort or other intolerances.
    • When you return home it may seem difficult to get fluids in initially because of inflammation. Aim for 4-8 oz of fluid over an hour.
    • Eventually you should be able to take 8 oz of fluid over 5-15 minutes.
    • Eventually you should be able to take 8 oz of fluid over 5-15 minutes.
  4. Drink adequate amounts of fluids to prevent dehydration. Fluid needs are individual and some people may require more fluid to maintain adequate hydration than others. Your dietitian can help determine the amount of fluid that is best for you .
    • Aim for at least 64 ounces (oz) per dayunless you have been given a higher goal.(the first few days after the procedure the goal is to only sip; you will not reach 64 ounces)
    • Increase your fluid intake if you are having signs or symptoms of dehydration: decreased or dark urine, nausea, headache, dizziness, lack of energy, dry skin, dry mouth or a white coating on the tongue.
  5. Wean off of beverages containing carbonation, caffeine, sugar and alcohol.Carbonation may cause abdominal discomfort. Caffeine may irritate the stomach. Caffeine as well as alcohol may also contribute to dehydration. Beverages containing sugar and alcohol are high in calories and will hinder your weight loss. And last but not least, alcohol metabolism is altered and you may feel the effects more quickly.
    • Water is a great beverage choice! If you are having trouble tolerating plain water, try adding a wedge of citrus fruit or sliced cucumbers.
    • Sugar free or light beverages with less than 10 calories per serving are also appropriate.
    • Try beverages sweetened with artificial or non-nutritive sweeteners.
    • Try True Lemon/Lime/Orange® for touch of flavor without artificial sweetener.
    • If you choose to drink alcohol in moderation after surgery, please do not plan on driving.
  6. Read food labels.Begin by identifying the amount of sugar, fat and protein in a particular food.
    • Sugar – Food and beverages high in sugar will slow down the rate of weight loss and may even cause weight re-gain.
      • Avoid high sugar foodssuch as sweets, candy, fruit drinks and sodas.
      • Limit foods that contain sugarin the first 3 ingredients on the food label.
      • Aim for no more than 15 grams of sugar per serving.
    • Sugar alcohols – Sugar alcohols are sometimes used in foods to provide a sweet taste without the calories of sugar. You may find sugar alcohol in sugar free foods such as sugar-free candies, cookies, ice cream and chewing gum. You may even find sugar alcohol in foods not labeled sugar free such as protein bars. If a product contains sugar alcohol the type (i.e. sorbitol, xylitol, mannitol, maltitol, starch hydrolysates, etc.) will be included on the list of ingredients and the amount will be included on the nutrition facts label. Limit sugar alcohol to less than 10 grams per serving as greater amountsmay lead to cramping, abdominal pain, excess gas and/or diarrhea.
    • Fat – Food and beverages high in fat are high in calories and like sugar will slow down the rate of weight loss and may even cause weight re-gain. High fat intake may also causesymptoms of intolerance (causing possible nausea or vomiting).
      • Avoid obviously high fat foods such as fried foods; fast food;snack chips;high fat meats like bacon, sausage, hot dogs, bologna, pepperoni and wings; cream soups and sauces like Alfredo;whole milk, ice cream; donuts; cakes; cookies; and pastries .
      • Choose foods that are labeled “light”, “low fat” or “fat free”.
      • When looking at a food label…Choose foods with 5% or less of the Daily Value (DV) for total fat. Avoid foods with 20% or more of the Daily Value for total fat. These would be considered a high fat foods.
      • Choose lean cuts of meat. Lean cuts include round, chuck, sirloin and tenderloin and meats that are greater than 90% lean.
    • Protein – Protein is important for wound healing, immune function and maintaining muscle mass.  Needs are individual but ranges of 60-80 grams are often suggested.Protein should be consumed first at each meal, then vegetables and fruits, then whole grains.
      • Eat protein with each meal.
      • Eat protein foods first. Take 2-3 bites of protein followed by a bite of vegetable or fruit and then a bite of starch/whole grains.
      • Avoid dry meats, they are usually not tolerated well.
  7. Explore, purchase and begin taking protein supplements
    • Choose supplements with:
      • At least 20-30 grams of protein per serving.
      • Less than 5 grams of sugar per serving.
      • Less than or equal to 200 calories.
    • Please account for the additional calories of any fluids or foods mixed or blended in (i.e. fruit, yogurt, peanut butter, milk, etc).
    • Choose whey protein isolateover whey protein concentrate and milk protein concentrate if you are lactose intolerant or feel symptoms of gas, bloating or are having loose bowel movements after surgery. Whey protein isolate is absorbed well and has no lactose or milk sugar.
    • Avoid and/or limit products with collagen(not a complete protein).
    • If you mix protein powder with skim or 1% milk you will get an additional 8 grams of protein per 8 oz.
  8. Explore, purchase and begin taking vitamin and mineral supplements. Vitamins and minerals are not only important for good health but also for maximum weight loss and long-term weight maintenance.
    • Begin taking a multivitamin (MVI) now if you do not already. Look for a MVI that contains 100% Daily Value for iron (18mg), folic acid (400mcg), thiamine (1.5mg) and copper (2mg).
  9. Include physical activity in your daily routine.  Exercise is recommended as a life-long habit and is known to improve over-all health, mood and sense of well-being as well as maximize weight loss. The American College of Sports Medicine recommends:
    • 30-60 minutes of moderate aerobic activity at least 5 days a week.One continuous session or multiple shorter sessions of exercise can achieve the same goal.
    • Strength training 2-3 days a week. Use a variety of exercises and equipment to work each major muscle group.
    • Before beginning any exercise routine, please consult with your doctor to make sure it is safe for you to exercise.
  10. Establish support. Social support is associated with increased weight loss after a weight loss procedure.
    • Involve family and friends inappointments before and after surgery. They can provide encouragement and help you achieve your goals for a healthier lifestyle.

Pre-Procedure…

Day Before the Procedure

Day before Procedure- Full Liquid Diet

Night before Procedure- Drink 20 oz Gatorade or Pedialyte(provides electrolytes and energy for weight loss procedure)

NOTHING BY MOUTH AFTER MIDNIGHT!

Following Your Procedure…

After you have been discharged from the endoscopy suite:

  • Start Slowly Sipping on Clear Liquids
  • Fluid Goals:  4 to 8 oz over 2 hours

Clear Liquids:

Water

Coffee

Tea

Broth (miso, chicken, beef, veggie)

Sugar-free flavored beverages with less than 10 calories per serving

Sugar-free fruit drinks

Sugar-free popsicles and sugar-free Italian Ice

Remember:

  • Sip and Do Not Gulp. Suggest avoiding straws for about 2 weeks. Swallowing air may cause abdominal discomfort.
  • Drink Slowly. If you feel increasing fullness or pressure under your breast bone, slow down.

After Discharge Home…

Full Liquid Diet: Post-op Week 1

Goals:

  • 60-80 grams of protein per dayor more if recommended (at least 2-3 protein supplements per day).
  • Aim for 64 ounces (oz) of fluid per day(just a goal; will be tough initially)
    • Drink Early and Often! It will probably take an hour to drink 8 oz. Drinking is an ALL DAY job. It is nearly impossible to play catch up with your fluids if you do not start early.
    • Protein supplements can account for 50% of your fluid goal.
  • Keep logs recording ounces of fluid and grams of protein consumed.

Recommended Liquid and Semi-liquids:

  • Water
  • Broth
  • Sugar-free fruit drinks
  • Sugar-free popsicles and sugar-free Italian ice
  • Tea and coffee
  • Diluted fruit juice (maximum of 4 ounces juice per day, diluted with 4 ounces water)
  • 1% or skim milk
  • Protein supplements
  • Low-fat/light or 100 calorie yogurt (plain or flavored yogurt without fruit chunks or seeds, Greek is preferred)
  • Low fat or Fatfree cottage cheese (no fruit added)
  • Ricotta cheese made with skim milk
  • Sugar-free gelatin
  • Sugar-free, low fat pudding

Sample Full Liquid Meal Plan (Week 1)

7:00    am 8 oz fluid such as coffee
8:00    am 2 tbsp semi-liquid such as fatfree plain Greek yogurt
8:30    am 8 oz fluid such as a sugar-free fruit flavored beverage
9:00    am 2 tbsp semi-liquid such as sugar-free pudding
10:00 am       8-12 oz protein supplement 
12:00   pm    2 tbsp semi-liquid such as sugar-free gelatin
1:00    pm 8 oz fluid such as water with lemon
2:00    pm 8-12 oz protein supplement
4:00    pm 8 oz fluid such as decaffeinated sugar-free iced tea
6:00    pm 2 tbsp fatfree cottage cheese
8:00    pm  8-12 oz protein supplement made with 1% or skim milk

Pureed Diet: Post-op Week 2

Goals:

  • 60-80 grams of protein per dayor more if recommended (at least 2-3 protein supplements per day).
  • Eat protein foods first, followed by vegetables, fruits then grains.
  • 64 oz of fluid per day (including protein drinks) sipped between meals. Avoid fluids during meals and wait 30 minutes after eating to resume drinking fluids.
  • Foods blended or mashed to liquid/baby food consistency.
  • Avoid spicy foods as well as very hot or very cold foods since they may cause discomfort.
  • Try only 1 new food at a meal so that you know what you can tolerate.
Food Choose Avoid
Protein 2 Tbsp(1oz) provides 6-7 grams of protein
 
Blended
Lean Beef, Pork, Poultry, Fish, Shrimp, Lobster, Crab, Imitation Crab/Lobster, Tuna fish in water
 
1 Egg (scrambled), egg substitute
 
2 Tbsp provides 3-4 grams protein
 
Cottage and Ricotta Cheese
(fat-free, skim milk or 1%)
 
Greek yogurt
(fat-free, plain or lightwithout seeds or chunks)
 
Tofu (soft)
 
Cheese, fat-free or low fat (1 slice or
   1 oz provides 6-7 grams protein)
 
Milk, 1% or skim (8 oz provides 8
   grams of protein)

High fat meats
 
Proteins cooked in oil, fat and butter
 
Peanut butter and other Nut butters
 
 
 
Cheese or yogurt made from whole milk
 
 
 
 
 
 
Whole or 2% Milk
Produce

Tip:
Add Protein Powder 		Vegetables
 Soft, tender varieties, cooked and
blended or mashed with a fork

Fruits
Mashed banana, No sugar added applesauce, blended canned peaches or pears in 100% juice, blended fresh fruit without seeds or skins and baby food fruit		Salad; Raw;
Tough varieties with fibrous stalks,seeds, skins or hulls;
Cooked in butter or oil
Tough varieties
Seeds, skins, hulls
Fruit in heavy or light syrup
Grains and Starches

Tip:
AddProtein Powder		Hot cereal (oatmeal, grits, cream of wheat)

Mashed white or sweet potatoes

Blended/mashed beans
(refried beans, hummus)		Pasta and noodles

Rice

Bread and bread products

All additional starchy foods not listed in the choose category

Grains prepared with added butter or oil
Soups
Tip:
Add Protein Powder		Broth, bouillon
Blended- Vegetable soup, Reduced fat cream soup, Bean soup or Egg drop soup		Rich, high fat cream soups or soups with chunks or noodles
BeveragesWater
Decaffeinated, non-carbonated beverages with less than 10 calories per 8 oz serving such as coffee, tea, Crystal Light®, Mio®, Propel Zero®, Fruit 2O®, Vitamin Water Zero®,True Lemon/Lime/Orange®		All soda or other
Carbonated drinks
Caffeinated coffee/ tea
Chocolate milk
Sweetened condensed milk
2% or whole milk
MiscellaneousLight yogurt, sugar-free gelatin, sugar-free popsicles, sugar-free pudding and custard, sugar- free/low fat ice cream and sherbet, light or low fat mayonnaiseAll others

Instructions for Pureeing Foods:

Buy or borrow a blender or food processor if you do not own one.

  1. Cut food into small pieces about the size of your thumbnail.
  2. Place food in the blender.
  3. Add enough liquid (broth, fat free gravy, fat free yogurt, tomato sauce, etc.) to cover the blades.
  4. Blend until smooth like applesauce.
  5. Strain out the lumps, seeds, or pieces of food.
  6. Use herbs and spices (avoid spicy ones) to flavor food.
  7. Enjoy!

Tip: Use ice cube trays. 

  • Each cube holds about 1 ounce. 
  • This will help you to control portion sizes and estimate protein.
  • Each cube is about 7 grams of protein if you’re putting pureed lean beef, poultry or pork in the trays. 
  • Try preparing your favorite healthy recipe, blend and freeze in the trays.

Sample Pureed Meal Plan (Week 2)

7:00    am 8 oz fluid such as coffee
8:00    am 8-12 oz protein supplement
9:30    am 8oz fluid such as water
10:30    am 2-4tbsp protein food such as 100 calorie vanilla Greek yogurt
11:30 am       8 ozfluid such sugar-free fruit flavored beverage
12:30   pm    2-4 tbsp protein food such as Ricotta cheese (made with skim milk) mixed with 1-2 tbsp tomato sauce
2:00    pm 8 ozfluid such as sugar-free fruit flavored beverage
3:00    pm 8-12 oz protein supplement
4:00    pm 2 tbsp protein food such as 1% low fat cottage cheese
2 tbsp blended or baby food peaches
5:00    pm 8 oz fluid such as water with lemon
6:00    pm  2tbsp protein food such as blended chicken
2 tbsp blended green beans
1-2 tbsp mashed potatoes with 1 tbsp fat-free gravy
7:30 pm8-12 oz protein supplement
8:30 pm 8 oz fluid such as water with lime

Soft Diet: Post-op Week 3-4

Goals:

  • 60-80 grams of protein per dayor more if recommended.Decrease protein supplements as protein foods increase.
  • Eat protein foods first, followed by vegetables, fruits then grains.
  • 64 oz of fluid per day (including protein drinks) sipped between meals.Avoid fluids during meals and wait 30 minutes after meals to resume drinking fluids.
  • All foods must be soft or cooked to a soft consistency. Chew all foods well.
  • Try only 1 new food at a sitting so that you know what you can tolerate.
Food Choose Avoid
Protein 1oz provides 6-7 grams of protein
 
Ground or finely chopped

Lean Beef, Pork, Poultry, Fish, Shrimp, Lobster, Crab, Imitation Crab/Lobster, Tuna in water

Lean deli meats

Egg and egg substitute
 
2 Tbsp provides 3-4 grams protein
 
Cottage/Ricotta Cheese (fat-free, skim milk, 1%)

Greek yogurt (fat-free, plain, light or 100
calorie)

Tofu (soft)

Cheese, fat-free or low fat (1 slice or 1 oz provides 6-7 grams protein)

Milk, 1% or skim (8 oz provides 8
grams of protein)		High fat meats

Tough, dry meats

Proteins cooked in oil, fat and butter

Peanut butter and other
Nut butters

Cheese or yogurt made from whole milk

Whole or 2% Milk
 
 
 
 
Produce Vegetables
 Tender varieties, cooked until soft

Fruits
Melon, Banana, No Sugar Added Applesauce, canned peaches and pears in 100% juice and other soft fruit without seeds, skins or hulls		Salad; Raw; Tough varieties with fibrous stalks seeds, skinsor hulls (peas, corn);

Cooked in butter or oil

Tough varieties,
Seeds, skins, hulls and membranes like fresh oranges

Fruit in heavy or light syrup
Grains and StarchesHot cereal (oatmeal, grits, cream of wheat)

Mashed white or sweet potatoes

Beans, hummus

Toast, crackers without seeds, hard pretzels

Rice, pasta and noodles(wait until week 7,8)		Soft bread

Bagels

All additional starchy foods not listed in the choose category

Grains preparedwith added butter or oil
SoupsBroth, bouillon
Reduced fat cream soups
Egg drop soup		Rich, high fat cream soups
BeveragesWater
Decaffeinated, non-carbonated beverages with less than 10 calories per 8 oz serving such as coffee, tea, Crystal Light®, Mio®, Propel Zero®, Fruit 2O®, Vitamin Water Zero®,TrueLemon/Lime/Orange®		All soda or other
Carbonated drinks
Caffeinated coffee/ tea
Chocolate milk
Sweetened condensed milk
2% or whole milk
MiscellaneousLight yogurt, sugar-free gelatin, sugar-free popsicles, sugar-free pudding and custard, sugar- free/low fat ice cream and sherbet, light or low fat mayonnaiseAll others

Sample Soft Diet Meal Plan (Weeks 3-4)

7:00    am 8 oz fluid such as decaffeinated coffee
8:00    am 2 oz protein food such as an omelet (1scrambled egg with 1 slice light cheese and 1-2 tbsp cooked vegetables)
9:00    am 8 oz fluid such as water with an orange wedge
10:00    am 8-12 ounces protein supplement
1:00 pm       1-2 ozprotein food such as tuna with low fat mayonnaise
2 saltine crackers
2-4 oz canned/ diced pearsin 100% Juice
2:00   pm    8 ozfluid such as water with lemon
3:30 pm 8-12 oz protein supplement
5:00 pm 8 oz fluid such as decaffeinated sugar-free iced tea
6:00 pm 1 ½ -2 ozprotein food such as chopped chicken breast (moist, tender)
2 tbspcooked green beans
1-2 tbsp mashed potatoes with 1 tbsp fat-free gravy
7:30 pm 8 oz fluid such as a sugar-free flavored water
8:00 pm 1/2 cup melon

Pureed Diet: Post-op Week 2

  • 60-80 grams of protein per dayor more if recommended.Decrease protein supplements as protein foods increase. Remember-Moist tender meats tend to be better tolerated.
  • 64 oz of fluid per day.Continue to avoid fluids during meals and wait 30 minutes after meals to resume drinking fluids.
  • Begin to add raw vegetables such as lettuce and carrots butcontinue to avoid foods with tough skins and large seeds such as cucumbers.
  • Take your time at meals and chew very well to help increase your tolerance to these foods.  Eventually you should be able to enjoy a wider variety of fresh fruits and vegetables,breads and other grains.
  • Keep food records of your tolerance and intake.  Remember that food intolerance is very individual

Three months following your surgery, you should be increasing the variety in your diet and attempting to eat foods from all of the food groups.  The following chart is a guide to help you develop healthy eating patterns.

Suggested Daily Intake based on Food Groups

Food GroupFood Choices Serving Size Number of Servings Grams Protein Grams Carb
Meat, Poultry, Fish, EggsExamples include lean beef, pork, ham, veal, chicken, turkey, fish, tuna fish, crab, shrimp, lobster, scallops, mussels, Canadian bacon, eggs, egg whites, firm tofu1 oz
¼ cup


6-7 36-49 0
VegetablesExamples include carrots, green beans, tomatoes, spinach and other greens, zucchini, yellow squash, beets, onions, peppers, broccoli, cauliflower, asparagus, cabbage, eggplant½ cup


2-3 4-6 10-15
FruitsExamples include apples, applesauce, plums, pears, peaches, nectarines, grapes, tangerines, cherries, berries, bananas ½ cup
2-3 030-45
Grain, Starchy VegetablesExamples include rice, potatoes, sweet potatoes, noodles, pasta, bread, crackers, pretzels, cereals, peas, corn, beans, chick peas, lentils, soybeans½ cup


3-4 6-12 45-60
Dairy Examples include skim/1% milk, Light yogurt, Greek style yogurt, cottage/ricotta cheese, low fat/fat free cheese, low fat soy milk8oz
½ cup 		2-3 10-25 10-25
Fats/OilsButter, margarine, mayonnaise, salad dressing1 Tbsp 1-2 00
Total56-9295-145

Sample Regular Diet Meal Plan (Weeks 5 and after)

Before Breakfast   6-8 ozWater                 

Breakfast

1 egg scrambled with 1 slice of fat free cheese

½ slice whole grain toast with low fat margarine

½ banana

30 minutes After Breakfast – 8-16ozsugar-free flavored beverage

Mid-Morning Snack

½ cup sliced apple

1 ounce low-fat string cheese

30 minutes after snack – 16 oz water or other approved beverage – sipped throughout the day

Lunch

½ cup (4 ounces) tuna in water with 1 Tbsp low fat mayonnaise on 1 slice whole grain bread

3 slices fresh tomato and ½ cup fresh lettuce

½ cup fresh cantaloupe

30 minutes after lunch- 8 oz decaffeinated sugar-free iced tea

Mid-Afternoon Snack

½ cup plain, low-fat Greek yogurt with ½ cup berries

30 minutes after snack – 16 oz water or other approved beverage – sipped throughout the day

Dinner

2-4 oz baked fish

½ cup steamed broccoli with lemon

½ cup baked sweet potato with 1 tsp low fat margarine/butter

Evening Snack

8 oz skim or 1% milk or soy milk

The above information is provided as a general guide.

Advancing to a Regular Diet should be achieved with the aid of a Registered Dietitian.  Please make an appointment to develop a healthy meal plan to ensure adequate nutrient intake and maximize your weight loss.

Possible Nutrition Related Problems that may occur post-op:

  • Dehydration:  Signs of dehydration include dark urine, nausea, headache, dizziness, lethargy and/or a white coating on the tongue.  These can occur if you are not drinking adequate amounts of fluid each day. Strive for at least 64 oz a day.
  • Decreased appetite: It is very common to not feel hungry right after the procedure. You need to eat based on a schedule and not physical symptoms of hunger.Refer to nutrient guidelines and suggested meal plans to ensure that you get proper nutrition and prevent deficiencies.
  • Nausea or vomiting:Usually caused by eating too fast, eating too much, not chewing well, drinking with or too soon after your meals or advancing your diet too soon.  If you do not believe nausea or vomiting is food related, call your doctor’s office.
  • Bad taste in mouth and taste changes: This can be common right after the procedure and may be caused for many reasons. If related to medication given around surgery or decreased intake after surgery it should resolve after a couple weeks. Some people experience ongoing taste changes because of the surgical procedure. Discuss problem solving tips with your dietitian.
  • Constipation: May occur within the first few weeks after the procedure.  Medication, decreased fluid intake, a low fiber diet and calcium and iron supplementation can contribute towards constipation. Stool softeners,Miralax, physical activity, adequate fluid intake and increasing fiber intake through texture appropriate fruits, vegetables and whole grains as the diet progresses can help promote bowel regularity.
  • Increased gas: This is also common after the surgery, especially during the first few weeks.  If you have gas pains, try simethicone drops (Gas X â).  DeveromÒmay also help with the odor. Gas can be a sign of lactose intolerance. 
  • Trouble tolerating dairy products or lactose intolerance: Milk and other dairy products may cause cramping, bloating, excessive gas and/or diarrhea.  If these problems occur, try taking a lactase enzyme when drinking or eating dairy. Lactaid 100 â milk, fat free fairlife milk, soymilk or almond milk may also be better tolerated.
  • Pregnancy: This must be avoided for the first 18 months following surgery.  Pregnancy during this time could cause complications and deficiencies for you and your baby and may result in birth defects.  For this reason you need to take precautions to prevent pregnancy, even if you had problems getting pregnant in the past.  Rapid weight loss increases fertility so you must be very careful.

Suggested Protein Supplements

Choose supplements that provide 100-200 calories, 20-30 grams of protein, and less than 5 grams of sugar per standard serving. A good supplement will provide at least 15 grams of protein per 100 calories.

Supplement (serving size) Calories Protein (grams) Sugar (grams) Protein Source Other Where to Purchase
Ready to Drink (RTD)
Designer Whey (10.5 fl oz) 100 18 3 Milk GF Safeway, Trader Joe’s, GNC, Vitamin Shoppe, Rite Aid, Target
EAS 100% Whey (11 fl oz)        180 30 1 Whey   CVS, Giant, Harris Teeter, Rite Aid,Shopper’s, Target, Walgreen’s, Walmart, online
GNC Lean Shake 25 (14 fl oz) 170 25 2 Milk LF GNC
Orgain Organic Protein (11 fl oz) 150 25 2 Milk GF Costco, Vitamin Shoppe, Whole Foods, online
Premier Protein (11 fl oz) 160 30 1 Milk   Costco, Sam’s Club, BJ’s, Giant, Safeway, Food Lion, Walmart, online
Premier Protein Organic (11 fl oz) 150 25 5 Milk GF Costco, Walmart, online
Pure Protein (11 fl oz can)   150-170   35   1   Milk   GF   Costco, Sam’s Club, BJ’s, CVS, Rite Aid, Safeway, Target, Vitamin Shoppe, Walgreens, Walmart, online
Extreme Smoothie (11 fl oz) 170 35 4 Milk   online
Supplement (serving size) Calories Protein (grams) Sugar (grams) Protein Source Other Where to Purchase
Ready to Drink (RTD) Clear Liquid
About Time ProHydrate (12 oz fl oz) 95 20 3 Whey Isolate GF/LF GNC, Vitamin Shoppe, Target, online
Atkins Lift (16.9 fl oz) 90 20 0 Whey Isolate   CVS, Food Lion, Giant, Harris Teeter, Rite Aid, Safeway, Shopper’s, Target, Walgreens, Walmart, online
Cocotein (16 fl oz) 100 20 5 Whey Isolate LF GNC, Vitamin Shoppe, online
Isopure Zero Carb (20 fl oz) 160 40 0 Whey Isolate LF Vitamin Shoppe, GNC, online
Isopure Plus (8 fl oz) 60 15 0 Whey Isolate GF/LF GNC,online
Premier Clear Protein (16.9 fl oz) 90 20 0 Whey Isolate   Sam’s Club, online
Supplement (serving size) Calories Protein (grams) Sugar (grams) Protein Source Other Where to Purchase
Powder
Bariatric Advantage High Protein Shake Mix (2 scoops) 100 20 1 Whey Isolate GF LF bariatricadvantage.com, online
Body Fortress Super Adv.   Whey Isolate (1 scoop) 140 30 1 Whey Isolate GF LF Walmart, Walgreens, CVS, Giant, online
Celebrate* Protein 20 (2 scoops) 90-100 20 1-3 Whey Isolate GF celebratevitamins.com, online
Designer Whey (1 scoop) 100 18 2 Whey GF Safeway, Trader Joe’s, GNC, Vitamin Shoppe, Rite Aid, Target
Dymatize Elite 100% Whey Protein Iso∙100 (1 scoop)   120 110   25 25   1 0 Whey Whey Isolate   GF GF/LF GNC, Vitamin Shoppe, online
EAS 100% Whey (2 scoops)        170 30 2 Whey   CVS, Giant, Harris Teeter, Rite Aid, Shopper’s, Target, Walgreen’s, Walmart, online
GNC 100% Whey Protein* 100% Whey Isolate (1scoop) 130 130   24 28   2 2 Whey Whey Isolate   GNC, online
Supplement (serving size) Calories Protein (grams) Sugar (grams) Protein Source Other Where to Purchase
Powder            
Isopure   Low Carb   Zero Carb   Whey Protein Isolate * (1 scoop)   105 105 110   21 25 26   1 0 0       Whey Isolate GF/LF GNC, Vitamin Shoppe, online
Jarrows Whey Protein (1 scoop) 94-105 17-18 1-4 Whey GF Vitamin Shoppe, Whole Foods, jarrow.com, online
Jay Robb Egg White Protein * Whey Protein (1 scoop)   120 110   24 25   0 0 Egg Whey Isolate GF/LF GNC, Vitamin Shoppe, Whole Foods,jayrobb.com, online
SEI Performance Series Max Protein (1 scoop) 126 22 3 Milk GF GNC, seinutrition.com
Nutiva Hemp Protein (3 tbsp) 90 15 1 Hemp GF Whole Foods, nutiva.com
Orgain Organic Protein (2 scoops) 150 21 1 Brown Rice, Hemp, Chia,Pea GF/LF Costco, Vitamin Shoppe, Whole Foods, online
Pure Protein Natural Whey Protein (1 scoop) 130 23 3-5 Whey GF BJ’s , Costco, Sam’s Club, CVS, Giant, Safeway, Target, Walgreen’s, Walmart, Vitamin Shoppe
Revival Soy Shakes (low sugar or sugar free) * (1 packet) 120 20 1 Soy GF revivalsoy.com
SunwarriorProtein * Vegan Plant Based (1 scoop) 70 84 16 16 0 3 Brown Rice Pea/Cran/Hemp GF purestcolloids.com/sun-warrior.php, online
Syntrax Nectar* Nectar Naturals (1 scoop) 100 90 24 20 0 0 Whey Isolate GF/LF Vitamin Shoppe, si03.com, online
Unjury * (1 scoop) 100 21 2 Whey Isolate LF unjury.com, online

GF= Gluten Free       LF=Lactose free        * Unflavored available

Protein powder tips:

  • Mix with skim or 1% milk, unsweetened soy milk, unsweetened almond milk, water or sugar free beverages with 10 calories or less per serving. If mixed with cow milk or soy milk this increases the total protein intake (1 oz = 1 gram protein).
  • Add to foods. Small amounts mixed into foods throughout the day can increase overall protein intake another 20-30 grams by the days end, if a full serving is used.

Protein supplements may be available for purchase and sampleonline. Try the manufacturer’s website or some of the sites listed below:

www.mybariatricpantry.com                   www.bariatricchoice.com

www.nashuanutrition.com                  www.amazon.com

The information contained on this handout is presented for general information purposes only and is subject to change by third parties. The hospital does not recommend any particular vendor, product or service.  Other vendors, products and services may be available from persons not on this list. Nothing contained on this handout should be construed nor is intended to be used for medical diagnosis or treatment.  Always consult with your physician or other qualified health care provider before embarking on a new treatment, diet or fitness program.

Case Study: Endoscopic Sleeve Gastroplasty versus Laparoscopic Sleeve Gastrectomy

18 Oct 2019 Uncategorized

We have made a comparison between ESG and LSG for weight loss. We have observed the patient who has undergone ESG and LSG at an interval of 1month and 6month.

Definition
Endoscopic Sleeve Gastroplasty (ESG) – It is a new form of weight-loss procedure in which the weight is reduced by reducing the size of the stomach. It is a type of non-surgical treatment.
Laparoscopic Sleeve Gastrectomy (LSG) – In this process, the size of the stomach is reduced by removing a part of the stomach. It is a type of surgical procedure.

Background and Aim
Endoscopic Sleeve Gastroplasty (ESG) reduces the gastric lumen to a size comparable with that of laparoscopic sleeve gastrectomy (LSG).
Our study compared the 6-month weight loss outcomes and adverse events of ESG with LSG in a case-matched group.

Methodology

We retrospectively reviewed patients undergoing ESG and LSG at the same hospital.
We have prospectively collected data after the treatment.
Weight was recorded at an interval of 1 and 6 months after the treatment.
We have also recorded adverse or hostile events like new-onset gastroesophageal reflux disease (GERD)

Results
A total of 54 ESG patients were matched with 83 LSG patients by age, sex, and mass index.
During the first month after the ESG and LSG treatment. The percentage of patients with GERD at baseline was similar in the two groups.
(16.7% in ESG group vs 25.3% in LSG group, P= 0.27)
After the six months follow up %TBWL compared with baseline was significantly lower in the ESG group compared with the LSG group. (17.1% vs 23.6%, P<0.01).
Hence, ESG patients had significantly lower rates of adverse events as compared with LSG patients (5.2% vs. 16.9%, P<0.05).

New-onset gastroesophageal reflux disease (GERD) was also significantly lower in the ESG group compared with the LSG group (1.9% vs. 14.5%, P<0.05).

Conclusions
After the complete study, it is observed that ESG is a minimally invasive on the same-day of treatment achieved less weight loss at six months than LSG, with the warning that LSG caused more adverse events and new-onset GERD than ESG.

Top 5 symptoms of Unhealthy Digestion and its recovery

5 Oct 2019 Uncategorized

Good Digestion starts when you chew your food completely and enjoy every herb and spice. If you consume more food as per the requirement of body you will suffer from digestion problems. In this blog, we are going to discuss the symptoms of unhealthy digestion and steps to overcome them.

Symptoms of Unhealthy Digestion

  1. Abdominal Pain
  2. Acid  Reflux
  3. Constipation
  4. Diarrhea
  5. Gas

1. Abdominal Pain: Abdominal Pain is a kind of pain that is felt in the abdomen. Abdominal pain is a result of any of the defective organs contained in the abdominal cavity that comprises of the stomach, small intestine, colon, liver, gallbladder, spleen, and pancreas. 

2. Gastroesophageal reflux disease:  It is a serious form of acid reflux from the body. Absolute symptoms of GERD in Adults are a regular burning sensation in the chest or throat. If GERD sensation occurs twice a week then it can result in serious health issues.

3. Constipation: It is a condition when a bowel movement is less than three times a week. In such case, the stool is hard, dry and small in size with difficulty to eradicate. 

4. Diarrhea: It is a condition of Loose, watery stools. In Diarrhea, you go for stools for three-four times or more. It can be dangerous if not treated. If this condition persists for more than two days it may be a chronic disease.

5. Gastritis: In this condition, the stomach lining gets inflamed. When the inflammation is sudden and severe then it can be called chronic Gastritis. Sometimes it causes pain in the above part of the abdomen.

Things you can do to avoid the Unhealthy digestion 

You should Include these constituents in your diet Olive oil, Raw garlic, Lemon, Apple cider vinegar, Green tea, herbs to get relief from such difficulties. After taking these constituents you are still feeling trouble indigestion then you can contact Dr Abdulhadi Qadri as he is the best Gastroenterologist and was selected in a row as the top Gastroenterologist by Jacksonville Magazine. To book an appointment or regarding any information you can visit http://gastroexpertuae.com/

COLON CANCER CAUSES AND SYMPTOMS

20 Sep 2019 Uncategorized

What is colon cancer?

The colon cancer starts in the large intestine known as the colon. 

When the colon cancer and rectal cancer combined, it is known as colorectal cancer and it starts in rectum.

Colon or rectal cancer mainly begins in the length of the colon, rectum, and anus.

Colon cancer usually affects older adults, but it can occur at any age.

Various treatments are available to control colon cancer like radiation treatment and drug treatments like chemotherapy, targeted therapy, immunotherapy, surgery.

Colon cancer is curable if it is detected at an early stage. 

Colon cancer causes and symptoms are given below.

Causes 

When the cells in the colon or rectum develop changes which cause unable to control growth and division and thus develops cancer. 

When these cells break loose the immune system and grow out of control, forming a tumor within the colon.

Certain risk factors that cause colorectal cancer are tobacco smoking, including diet and heavy alcohol use.

Individuals with a family history of colorectal cancer have a high risk of developing cancer. Known risk factors for colorectal cancer include:

  • Inherited syndromes: Two common inherited syndromes are familial adenomatous polyposis (FAP) and hereditary non-polyposis colorectal cancer (HNPCC) which causes colorectal cancer and some other types of the syndrome are Peutz-Jeghers Syndrome, Turcot Syndrome, and Lynch Syndrome.
  • Diet: Those who consume more red meat like beef, hot dog, lamb, have a higher chance of developing colon cancer.
  • Family history: If your blood relatives like Father, Mother, Sister, and Brother are diagnosed with colon cancer, then your doctor may suggest a colonoscopy to test for colorectal cancer. 
  • Smoking: Smoking also increases the chance of developing cancer, elements associated with smoking can be swallowed, increase the risk of colon cancer.
  • Lazy lifestyle: Peoples who live a sedentary lifestyle have a higher risk of developing cancer.
  • Consumption of Alcohol: Too much alcohol consumption may lead to an increased risk of colorectal cancer.
  • Age: The chances of developing colon cancer increases after the age of 45. According to a study by the National Cancer Institute 95% of the patient develops colon cancer after the age of 45.
  • Chronic bowel diseases: Diseases like ulcerative colitis, Crohn’s disease, can increase the chances of developing colorectal cancer. The longer you experienced these diseases higher the chances are of developing colon cancer.
  • Diabetes: Mainly Type II diabetes, have a higher risk of developing rectal cancer.

Symptoms of colon cancer 

  • Bleeding in rectal (Rectal Bleeding)

Rectal bleeding can also cause by hemorrhoids, patients with hemorrhoids experience signs that come and go, but the rectal bleeding in the case of cancer grows and gets worse with time. 

  • Bowel and Abdominal pain

Pain in the stomach or pain in the bowel and abdominal region can be signs of colorectal cancer. These signs are common that can also be caused by gastrointestinal pain, ulcerative colitis, and Crohn’s disease. It is advisable that you should consult your doctor when you feel frequent abdominal pain.

  • Changes in Bowel ways 

It includes symptoms like- feeling a bowel that doesn’t appear to empty completely, changes in the size of bowel movements, constant diarrhea or constipation, very narrow stool. These symptoms can be caused by diet change, viral infection, eating unpleasant foods, but if these symptoms occur for a long time then you must consult a professional doctor.

  • Pain in Pelvic region

Pain in the pelvic region indicates that cancer has spread to the pelvic areas.

  • Blood in stool 

Blood in stool, typically a darker colored bowel movement, which indicates that there is bleeding in the intestinal region. 

  • Weight loss

Unexpected weight loss, feeling weak, losing your appetite can be signs of colon or rectal cancer.

What foods are good for Acid Reflux and Heartburn?

13 Sep 2019 Uncategorized

“Avoid focusing on how much you eat, focus on what you eat”.

What is Acid Reflux?


Acid reflux occurs when stomach acid travels up the food pipe to the mouth.
The main reason for acid reflux is when the muscle at the bottom of the food pipe, which acts as a gateway to the stomach, becomes weak or wobbly.
“People who experience acid reflux at least once a week has gone up by approximately 50% in the past 10 years according to a study by Norwegian.”
If the symptoms of Acid Reflux persists regularly, it can indicate that a person is suffering from Gastroesophageal Reflux Disease (GERD). Below we have discussed what foods are good for Acid Reflux and Heartburn.

What is Heartburn?


It is actually a symptom of Acid Reflux and occurs when the acid reflux back into the esophagus.
It is the burning sensation in the chest or abdomen, and it has nothing to do with the heart. It is a part of Acid Reflux.
People often feel heartburn after eating. It is mainly because of food.
“According to a study, heartburn is a common digestive illness in the United States, affecting more than 60 million Americans every month.”
Are you suffering from Acid Reflux or Heartburn? Don’t panic because you can avoid this problem by changing your food habits.

What foods are good for Acid Reflux and Heartburn?

Non-Citrus fruits
 Melons
Apples
Bananas
Pears
These fruits are less likely to cause acid reflux and heartburn.

Egg Whites
 It is a good option. Avoid eating egg yolks because they may trigger reflux symptoms.

Healthy Fats
Walnuts
Olive oil
Sunflower oil
Avocadoes
Sesame oil
Avoid taking saturated fats and trans fats.

Vegetables
 Broccoli
Cauliflower
Potatoes
Cucumbers
Green beans
Vegetables help in reducing stomach acid and are low in fat and sugar.

Seafood and Lean Meats
 Chicken
Fish
Eat them as baked, grilled or broiled.

Ginger
It’s a natural treatment for heartburn and acid reflux problems. You should try ginger tea, smoothies, add sliced ginger root to recipes.

Foods that cause acid reflux and heartburn are

Citrus fruit and Tomatoes
 Lemons
Limes
Oranges
Tomatoes
Grapes

Garlic and onions
Foods that contain onions and garlic causes heartburn
Eating a lot of onions or garlic can cause heartburn.

Chewing gums
Mints products like breath mints, chewing gum causes heartburn and acid reflux.

Spicy foods
French fries
Onion rings
Oily and greasy foods
Cream sauces
Creamy salad dressing
Fried cuts of beef

So, avoid eating foods that cause acid reflux and heartburn.

By practicing healthy eating habits and notice how your symptoms respond to particular foods and drinks, you can reduce your reflux symptoms and improve your quality of life.

Remember-
“HEARTBREAK IS STILL OK BUT HEARTBURN IS NOT ACCEPTABLE.”

How to reduce weight without any surgery? (Non-surgical weight loss)

6 Sep 2019 Uncategorized

What is non-surgical weight loss?
As the name suggests non-surgical weight loss means losing weight without any type of surgery.

“IN TWO WEEKS, YOU’LL FEEL IT, IN FOUR WEEKS, YOU’LL SEE IT, IN EIGHT WEEKS, YOU’LL HEAR IT”

  • Types of non-surgical weight loss may include-
  • Intragastric balloon procedure
  • Nutrition and lifestyle counseling
  • Endoscopic Sleeve Gastroplasty (ESG)
  • Medication to help with weight loss

INTRAGASTRIC BALLOON PROCEDURE
The intragastric balloon procedure can help you reduce weight without any surgery. This option is for those who are overweight or obese and diet and exercise alone have not worked.
This procedure takes about 30 minutes.
The intragastric balloon helps make portion control easier and weight loss more manageable when combined with a proper diet and exercise.

Nutrition and Lifestyle Counseling
Long-term weight loss can be achieved if you commit yourself to major lifestyle changes, such as eating healthy and being active.
Finding the balance that’s right for you is key to achieving your weight loss goal.
Meal alternatives can help speed up weight loss, reduce the worry of meal preparation, and help you control portions.

Endoscopic Sleeve Gastroplasty (ESG)
This weight-loss procedure is usually done only after you’ve tried to lose weight by improving your diet and exercise habits. Endoscopic sleeve gastroplasty is less intrusive and cheaper than other forms of bariatric surgery. Endoscopic sleeve gastroplasty (ESG) is the latest development in non-surgical weight loss – available exclusively.

During this 60-minute procedure, the doctor creates a smaller stomach by inserting an endoscope into the stomach through the mouth and performing an accordion-link suture pattern, closing down the stomach from the bottom to the top and forming a sleeve.
ESG provides the restriction you need to lose weight without removing any part of the stomach.

Medication to help with weight loss

In this procedure, weight loss is achieved by taking medicines that are prescribed by the doctor. Some of the drugs or medicines are given below-

Phentermine and Topiramate

Lorcaserin Hydrochloride

Naltrexone Hydrochloride and Bupropion Hydrochloride

Liraglutide

It’s highly recommended that you should not take any of these medicines without doctor prescription because these medicines also have some side effects. It is not advised to take any medicine without being prescribed by the doctor. This is just for information purpose.

Besides this process, you also try some easy and practical home remedies that help in weight loss without any surgery:

  • Avoid unhealthy snacks or Foods
  • Eliminate Sugary Drinks
  • Avoid Stress
  • Sleep Well
  • Avoid Distractions while Eating, Avoid the use of Smartphones, Watching TV or playing computer games because this will cause overeating.
  • Serve yourself Smaller Portions, serve yourself just a little less might help you reduce your weight.
  • Eat Fiber-Rich Foods, eating fiber foods not only helps in reducing weight but also keeps your body healthy.
  • Increase protein in your diet, as it reduces hunger and helps you eat fewer calories.
  • Chew your food thoroughly and slowly, fast eaters are also much more likely to obese.

BENEFITS

  • Lowers blood pressure
  • Improves blood sugar levels
  • Lowers cholesterol levels
  • Improves mobility
  • Reduces joint pain
  • Reduces back pain
  • Reduces the risk of stroke
  • Reduces the risk of heart disease

Foods that prevent Gerd

22 Aug 2019 Uncategorized , ,

Gastroesophageal Reflux Disease or (Gerd)

“Gastro which refers to the Stomach.”
“Esophageal which is Esophagus.“
“Reflux refers to flow back or return.”
“Gerd is a return of acidic or non-acidic content flow back in the wrong way to the stomach.”

Many people experience acid reflux from time to time. Most people can manage the discomfort of GERD with lifestyle changes and over-the-counter medications.
If you desire more information on GERD.

While there is no proven Gerd diet but the following foods may aid you to soothe your symptoms.

Fruits
Avoid:- Citrus fruits and juices like oranges, tangerine, pineapple, grapefruit, and lemons.
Safe:- Non-citrus fruits like bananas, melons, apples, and pears among others.

Vegetables
Safe:- Plain fresh and low vegetables in fat and sugar like broccoli, cauliflower, potatoes, and cucumbers.
Avoid:- Vegetables that are high in fat or fried.

Milk and Milk Products
Safe:- Fat-free or low-fat, and low-fat buttermilk, low-fat or fat-free yogurt, soy milk, low-fat cottage cheese.
Avoid:- Whole milk, chocolate milk, whole milk fat yogurt, milkshakes, full-fat cheese.

Desserts
Safe:- Sponge cake, low-fat cookies, gelatin, fruit-based desserts, fruit ice, reduced-fat ice cream.
Avoid:- All other pies, cookies, and cakes, ice cream, any desserts containing chocolate frosting, whole milk pudding, pastries.

Healthier Fats
Safe: Sour cream, mayo, and cream cheese as desired. Low-fat or reduced-fat, powdered or liquid creamer.
Avoid:- Gravies, heavy cream, bacon, meat drippings, butter, margarine, vegetable oils, regular sour cream, cream cheeses, olives, avocados/guacamole, nut butter.

Meats and Meat Substitutes
Safe:- Well-cooked lean meat, fresh fish, shellfish, low-fat luncheon meats and cheeses, lean pork, and tofu.
Avoid:- Deep Fried versions of meat, fish or eggs.

Potatoes and Potato Substitutes
Safe:- Baked, boiled, and mashed potatoes without added fat.
Avoid:- French-fried potatoes, risotto, potato chips.

Soups
Safe:- Fat-free broths, homemade soups made with lean meat and no tomato vegetables.
Avoid:- Regular cream and tomato-based soups.

Egg Whites
Egg whites remain a preferred option. Stay away from egg yolks.

10 Common digestive disorders are:

26 Jul 2019 Uncategorized

Millions of people all over the world get affected by digestive disorder every year. To cope with various digestive disorders, find in-depth information and discover how your system works.

How serious are your symptoms-
Heartburn/GERD, IBD, and IBS are some of the common digestive disorders which can be uncomfortable but not a matter of huge concern. Some of the symptoms of digestive disorders can be bloating, stomach ache, gas, stomach cramps, etc. The medication would be the perfect treatment of digestive problems. Change in lifestyle and eating patterns also helps a lot in digestive disorders.
If you have these 10 digestive disorders, consult your gastroenterologist in Abu Dhabi.

  1. Gastroesophageal Reflux Disease (GERD):-
    Gastroesophageal Reflux Disease, GERD is a digestive disorder which affects the lower esophageal sphincter, LES. A ring of muscles—the lower esophageal sphincter (LES), connects the stomach and esophagus. If you suffer from the problem of heartburn or acid reflux for more than a week, you may have Gastroesophageal Reflux Disease or GERD. The most initial symptom you would feel be painful and regular heartburn in the middle of your chest. When your lower esophageal sphincter, LES becomes weak or relaxes when it shouldn’t, GERD happens. To reduce GERD disorder, change your food and drinks which is making your symptoms worse. You can treat GERD with lifestyle changes, such as when you eat and eating smaller meals. Making lifestyle changes can reduce your GERD symptoms.
  2. Peptic Ulcer Disease (PUD) and Gastritis-
    PUD is a break in the lining of the stomach or upper part of the small intestine while Gastritis is inflammation of the stomach lining. Peptic Ulcers are formed in the stomach and upper part of the small intestine. Gastric ulcer is an ulcer in the stomach. These two health problems have alike symptoms, including stomach pain and nausea, and similar causes. Helicobacter pylori infection and use of nonsteroidal anti-inflammatory drugs are the most common causes of peptic ulcer disease (PUD). treatment of these diseases has revolutionized by direct visualization and the ability to biopsy with endoscopy. Antibiotics are also fruitful for H. pylori infection.
  3. Stomach Flu-
    Stomach Flu is an intestinal infection also known as, gastroenteritis. Some of the nasty symptoms of stomach flu are vomiting, diarrhea, stomach pain, cramps and sometimes fever. Viral gastroenteritis can only be dangerous if leads to dehydration. Symptoms of dehydration, digestive disorder includes lack of energy, extreme thirst, and dry mouth, urinating less than usual, sunken eyes, etc…If you get in touch with an infected person or if you don’t wash your hands thoroughly after using the bathroom you will easily get infected. Rotavirus and norovirus, which affect millions of people every year, are often the cause behind the viral gastroenteritis. Although they are not harmful but seek the right treatment will help.
  4. Gluten Sensitivity and Celiac Disease
    Gluten-sensitive enteropathy is an immune reaction to eating gluten, a protein found in wheat and barley. Celiac Disease has often sometimes known as celiac sprue. Symptoms of gluten sensitivity and celiac disease are quite similar. Diarrhea, fatigue, weight loss, bloating and anaemia are the symptoms which cause intestinal damage and can lead to serious health complications. Eating gluten if you have celiac disease can trigger your immune system. Itchiness, rashes around elbows can happen from gluten intolerance. To control the symptoms, doctors suggest a gluten-free diet or medication. Be sure to consult your doctor to control the risk.
  5. Inflammatory Bowel Disease (IBD)
    Inflammatory Bowel Disease, IBD is the disorders that involve chronic inflammation of your digestive tract. Ulcerative colitis and Crohn’s disease are the two primary kinds of IBD. It is also characterized by inflammation of the intestines. They are autoimmune diseases, which means there is an abnormal immune system reaction. Inflammation is caused if the immune system attacks harmless virus, bacteria, or food in the gut. Irritation and swelling, resulting in diarrhea, abdominal pain, loss of appetite, fever, and weight loss are some of the causes of IBD. Self-care and medical treatment combination involve treatment. The best way to stay healthy is by managing your health by changing your lifestyle and never let your diseases control you.
  6. Irritable Bowel Syndrome (IBS)
    It is a digestive disorder that affects the large intestine. The major symptoms of this disorder are Cramping, abdominal pain, bloating, gas, and diarrhea or constipation. 70% of people with IBS also suffers from indigestion. It is not completely possible to prevent IBS symptom but what you eat and how you eat certainly affects the symptoms. Low-fat foods, fibre supplements, Aloe Vera juice, helps in minimizing the above-mentioned symptoms. Taking the fibre intake in your food can reduce gas from the stomach. You need to avoid Dairy products, Alcohol, Foods high in sugars if you are suffering from IBS. For any further query, likely be referred to consult a doctor.
  7. Constipation
    Constipation is the difficult passage of stool, means your bowel movements happen less often than normal. Almost 63 million people in the USA are affected by chronic constipation. Eating a lot of dairy products, Not enough fibre in your diet, less consumption of water, stress are some of the causes of constipation. To ease constipation take fruits and vegetables, eat cereal, exercise, try warm liquids…You can try laxatives too. Use laxatives only as a temporary solution. Each of them works in a different way. Consult your doctor how long it would take to recover.
  8. Haemorrhoids
    Swollen veins in your anus and rectum are Hemorrhoids also known as piles. Haemorrhoids are quite painful. Pain, itching, and bright red blood after a bowel movement are the symptoms of Hemorrhoids. For the treatment of haemorrhoids Anti-inflammatory creams and pastes herbal substances like aloe vera, are often recommended. Take a warm bath to relieve pain and itchiness. It may feel a little embarrassing to talk about haemorrhoids but don’t let that stop you. Trying to prevent constipation and changing toilet habits can make a huge difference. Seek help if Hemorrhoids persist.
    The condition of having multiple pouches in the wall of your colon is
  9. Diverticular Disease
    The condition of having multiple pouches in the wall of your colon is Diverticulosis. Disease increases with age, roughly half of people ages 60 to 80 have this condition. If you have symptoms then it must be a pain in your lower abdomen, bloating constipation or diarrhea. You must visit a doctor if you have any of these signs. In diverticular bleeding, you will have a large amount of red or maroon-colored blood. To treat diverticulitis you may need antibiotics, a liquid diet, or even surgery if the condition is recurring. Avoid western eating, nuts, popcorn, and seeds which cause symptoms to flare up. Genetics can be a factor. Self-treat can be done if it is not severe. The well-balanced diet has a lower risk of developing diverticulitis.
  10. Gallstones
    The small deposits of bile inside the gallbladder are gallstones. The gallbladder is an organ attached to your intestine stores digestive juice— bile. It affects 15%of Americans every year but not all of them are a problem. The factors that increase the risk of developing a gallstone are:
     Diabetes
     Over Drinking
     Smoking
     Over-weight
     Eating low fibre-diet or high fat
    Some gallstones go on their own. Some cause a lot of pain and infection. Nausea or vomiting, fever, Jaundice, Indigestion are the symptoms. Surgery is the usual treatment for gallstones if it attacks.
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